your personal details

First Name Last Name

Has your name or surname been changed? (if changed, when and your previous name or surname) Change of name/surname (when, previous name)

Stateless Person Tajikistan Uzbekistan Ukraine Kazakhstan Belarus Moldova Armenia Azerbaijan Georgia Turkmenia Turkmenistan Turkey Iran Kyrgyzia Kyrgyzstan Kyrgyz Republic Republic of Azerbaijan Republic of Armenia Republic of Belarus Republic of Georgia Republic of Kazakhstan Republic of Kyrgyzia Republic of Congo Republic of Crimea Republic of Lithuania Republic of Moldova Republic of Tajikistan Republic of Uzbekistan Republic of Ukraine Republic of Turkmenistan Abkhazian Republic Abkhazia Australia Austria Albania Algeria Angola Andorra Antigua and Barbuda Argentina Afghanistan Bahamas Bangladesh Barbados Bahrain Belize Belgium Benin Bulgaria Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Burkina Faso Burundi Bhutan Vanuatu United Kingdom Hungary Venezuela East Timor Vietnam Gabon Haiti Guyana Gambia Ghana Guatemala Guinea Guinea-Bissau Germany Honduras Grenada Greece Denmark Djibouti Dominica Dominican Republic Egypt Zambia Zimbabwe India Indonesia Jordan Iraq Ireland Iceland Spain Italy Yemen Cabo Verde Cambodia Cameroon Canada Qatar Kenya Cyprus Kiribati China Colombia Comoros Congo North Korea Korea Costa Rica Ivory Coast Cuba Kuwait Laos Latvia Republic of Latvia Lesotho Liberia Lebanon Libya Lithuania Liechtenstein Luxembourg Mauritius Mauritania Madagascar Malawi Malaysia Mali Maldives Malta Morocco Marshall Islands Mexico Micronesia Mozambique Monaco Mongolia Myanmar Namibia Nauru Nepal Niger Nigeria Netherlands Nicaragua New Zealand Norway United Arab Emirates UAE Oman Palau Panama Papua New Guinea Paraguay Peru Poland Portugal Rwanda Romania El Salvador Samoa San Marino Sao Tome and Principe Saudi Arabia North Macedonia Seychelles Senegal Saint Vincent and the Grenadines Saint Kitts and Nevis Saint Lucia Serbia Singapore Syria Slovakia Slovenia USA United States of America Solomon Islands Somalia Sudan Suriname Sierra Leone Thailand Tanzania Togo Tonga Trinidad and Tobago Tuvalu Tunisia Uganda Uruguay Fiji Philippines Finland France Croatia Central African Republic Chad Montenegro Czechia Chile Switzerland Sweden Sri Lanka Ecuador Equatorial Guinea Eritrea Eswatini Estonia Republic of Estonia Ethiopia South Africa South Sudan Jamaica Japan Citizenship

United States Canada Mexico Guatemala Belize El Salvador Honduras Nicaragua Costa Rica Panama Bahamas Cuba Jamaica Haiti Dominican Republic Trinidad and Tobago Albania Andorra Armenia Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Moldova Monaco Montenegro Netherlands North Macedonia Norway Poland Portugal Romania Russia San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Azerbaijan Bahrain Bhutan Georgia Israel Kazakhstan Kuwait Kyrgyzstan Maldives Qatar Saudi Arabia Singapore Tajikistan Turkey Turkmenistan United Arab Emirates Uzbekistan The country you are applying to

Freelancer/Digital Nomad Visa Retirement Visa Volunteer Visa Marriage/Fiancé Visa Religious Visa Cultural/Exchange Visa Medical Visa Diplomatic and Official Visa Permanent Residency (PR) Visa Investor Visa / Business Startup Visa Family/Dependent Visa Transit Visa Work/Employment Visa Student Visa Business Visa Tourist Visa Visa Services

Date of birth Place of birth (city, country)

Woman Man Gender

ordinary passport service(official,special) diplomatic passport other travel document Type of travel document

Number of travel document

Place of issue ( city, country) of travel document Date of issue (day, month, year) Validity of travel document (day, month, year)

Other visas issued during the past five years

Married Single Widowed Divorced Marital status

Other Phone Mail

Current address Duration of your stay in the country Final Destination (city, country)

Yes No Did you suffer from any communicable disease of public health significance?

Yes No Any communicable disease of public health significance?

If yes, when?

Yes No Have you ever been charged of any criminal offences?

If yes, when?

official business tourism employment scientific education medical cultural sports private visit humanitarian Purpose of your trip

entry transit Type of visa

single entry multiple entry single entry transit visa double entry transit visa Number of entries

Yes No Do you intend to study in the country?

Signature of applicant or his/her representative Place and date

I certify that I read and understood all the questions in this application and correctly responded to all of them. I understand that any false or misinformation may result in the refusal of a visa to the country. The state fee paid for the visa registration is not given back irrespective of the result of consideration of application.

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